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Sleep Disorders

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Book cover Handbook of Evidence-Based Practices in Intellectual and Developmental Disabilities

Part of the book series: Evidence-Based Practices in Behavioral Health ((EBPBH))

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Abstract

The purpose of this chapter is to provide an overview of the prevalence of sleep disorders, factors related to sleep disturbance, and evidence-based treatment to address sleep problems displayed by children and adults with intellectual and developmental disabilities. Factors associated with sleep difficulties included behavior problems, genetic and psychiatric disorders, medical conditions, psychoactive medication use, and visual impairment. Melatonin and behavioral strategies of extinction and bedtime fading were reviewed to be effective at treating sleep disorders. Due to the paucity of evidence-based interventions, more research is needed to effectively assess and treat sleep disorders in individuals with intellectual disabilities.

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References

  • Adams, L. A., & Rickert, V. I. (1989). Reducing bedtime tantrums: Comparison between positive routines and graduated extinction. Pediatrics, 84, 756–761.

    PubMed  Google Scholar 

  • American Academy of Sleep Medicine. (2001). International Classification of Sleep Disorders-Revised (ICSD-R). Westchester, IL: American Academy of Sleep Medicine.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th ed.). Washington, DC: Author.

    Google Scholar 

  • Andersen, I. M., Kaczmarska, J., McGrew, S. G., & Malow, B. A. (2008). Melatonin for insomnia in children with autism spectrum disorders. Journal of Child Neurology, 23, 482–485.

    Article  PubMed  Google Scholar 

  • Boyle, A., Melville, C. A., Morrison, J., Allan, L., Smiley, E., Espie, C. A., & Cooper, S. (2010). A cohort study of the prevalence of sleep problems in adults with intellectual disabilities. Journal of Sleep Research, 19(1), 42–53.

    Google Scholar 

  • Braam, W., Didden, R., Smits, M., & Curfs, M. (2008). Melatonin treatment in individuals with intellectual disabilities and chronic insomnia: A randomized placebo-controlled study. Journal of Intellectual Disability Research, 52(3), 256–264.

    Article  PubMed  Google Scholar 

  • Braam, W., Smits, M. G., Didden, R., Korzilius, H., Van Geijlswijk, I. M., & Curfs, L. M. G. (2009). Exogenous melatonin for sleep problems in individuals with intellectual disabilities: A meta-analysis. Developmental Medicine and Child Neurology, 51, 340–349.

    Article  PubMed  Google Scholar 

  • Bradshaw, S. J. (1991). Successful cognitive manipulation of a stereotypic nightmare in a 40-year-old male with Down’s syndrome. Behavioural Psychotherapy, 19(3), 281–283.

    Article  Google Scholar 

  • Breau, L. M., & Camfield, C. S. (2011). Pain disrupts sleep in children and youth with intellectual and developmental disabilities. Research in Developmental Disabilities, 32, 2829–2840.

    Article  PubMed  Google Scholar 

  • Brylewski, J. E., & Wiggs, L. (1998). A questionnaire survey of sleep and night-time behavior in a community-based sample of adults with intellectual disability. Journal of Intellectual Disability Research, 42(2), 154–162.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. Retrieved March 2, 2015, from http://www.cdc.gov/sleep/.

  • Cortesi, F., Giannotti, F., Ivanenko, A., & Johnson, K. (2010). Sleep in children with autism spectrum disorder. Sleep Medicine, 11, 659–664.

    Article  PubMed  Google Scholar 

  • Cristodulu, K. V., & Durand, V. M. (2004). Reducing bedtime disturbance and night waking using positive bedtime routines and sleep restriction. Focus on Autism and Other Developmental Disabilities, 19, 130–139.

    Article  Google Scholar 

  • Deb, S., Hare, M., & Prior, L. (2007). Symptoms of dementia among adults with Down’s syndrome: A qualitative study. Journal of Intellectual Disability Research, 51(9), 726–739.

    Article  PubMed  Google Scholar 

  • DeLeon, I., Fisher, W., & Marhefka, J. (2004). Decreasing self-injurious behavior associated with awakening in a child with autism and developmental delays. Behavioral Interventions, 19, 111–119.

    Article  Google Scholar 

  • Didden, R., Braam, W., Maas, A., Smits, M., Sturmey, P., Sigafoos, J., & Curfs, L. (2014). Sleep problems. In P. Sturmey & R. Didden (Eds.), Evidence-based practice and intellectual disabilities (pp. 219–234). UK: John Wiley & Sons, Ltd.

    Google Scholar 

  • Didden, R., Curfs, L. M., van Driel, S., & de Moor, J. M. (2002). Sleep problems in children and young adults with developmental disabilities: Home-based functional assessment and treatment. Journal of Behavior Therapy and Experimental Psychiatry, 33(1), 49–58.

    Article  PubMed  Google Scholar 

  • Didden, R., & Sigafoos, J. (2001). A review of the nature and treatment of sleep disorders in individuals with developmental disabilities. Research in Developmental Disabilities, 22(4), 255–272.

    Article  PubMed  Google Scholar 

  • Doran, S. M., Harvey, M. T., & Horner, R. H. (2006). Sleep and developmental disabilities: Assessment, treatment, and outcome measures. Mental Retardation, 44(1), 13–27.

    Article  PubMed  Google Scholar 

  • Douglass, A. B., Bornstein, R., Nino-Murcia, G., Keenan, S., Miles, L., Zarcone, V. P., Jr., et al. (1994). The Sleep Disorder Questionnaire I: Creation and multivariate structure of SDQ. Sleep, 17, 160–167.

    PubMed  Google Scholar 

  • Durand, V. M. (2002). Treating sleep terrors in children with autism. Journal of Positive Behavior Interventions, 4, 66–72. doi:10.1177/109830070200400201.

    Article  Google Scholar 

  • Durand, V. M. (2014). Sleep better! A guide to improving sleep for children with special needs (revisedth ed.). Baltimore, MD: Brookes Publishing.

    Google Scholar 

  • Durand, V. M., & Christodulu, K. V. (2004). Description of a sleep-restriction program to reduce bedtime disturbances and night waking. Journal of Positive Behavior Interventions, 6, 83–91.

    Article  Google Scholar 

  • Durand, V. M., Gernert-Dott, P., & Mapstone, E. (2001). Treatment of sleep disorders in children with developmental disabilities. Journal of the Association for Persons with Severe Handicaps, 21, 114–122.

    Google Scholar 

  • Espie, C. A., Paul, A., McFie, J., Amos, P., Hamilton, D., McColl, J. H., … Pardey, J. (1998). Sleep studies of adults with severe or profound mental retardation and epilepsy. American Journal on Mental Retardation, 103(1), 47–59.

    Google Scholar 

  • Ferber, R. (2006). Solve your child’s sleep problems (revisedth ed.). New York: Fireside.

    Google Scholar 

  • Gringras, P., Green, D., Wright, B., Rush, C., Sparrowhawk, M., Pratt, K., … Wiggs, L. (2014). Weighted blankets and sleep in autistic children: a randomized controlled trial. Pediatrics, 134, 298–306. doi:10.1542/peds.2013-4285.

    Google Scholar 

  • Gunning, M. J., & Espie, C. A. (2003). Psychological treatment of reported sleep disorder in adults with intellectual disability using a multiple baseline design. Journal of Intellectual Disability Research, 47(3), 191–202.

    Article  PubMed  Google Scholar 

  • Hoffman, C. D., Sweeney, D. P., Gilliam, J. E., Apodaca, D. D., Lopez-Wagner, M. C., & Castillo, M. M. (2005). Sleep problems and symptomology in children with autism. Focus on Autism and Other Developmental Disabilities, 20, 194–200.

    Google Scholar 

  • Hylkema, T., & Vlaskamp, C. (2009). Significant improvement in sleep in people with intellectual disabilities living in residential settings by non-pharmaceutical interventions. Journal of Intellectual Disability Research, 53(8), 695–703.

    Article  PubMed  Google Scholar 

  • Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1994). Toward a functional analysis of self-injury. Journal of Applied Behavior Analysis, 27, 197–209. doi:10.1901/jaba.1994.27-197 (Reprinted from Analysis and Intervention in Developmental Disabilities, 2, 3–30, 1982).

    Article  PubMed  PubMed Central  Google Scholar 

  • Jan, J. E., Owens, J. A., Weiss, M. D., Johnson, K. P., Wasdell, M. B., Freeman, R. D., & Ipsiroglu, O. S. (2008). Sleep hygiene for children with neurodevelopmental disabilities. Pediatrics, 122, 1343–1350.

    Google Scholar 

  • Jin, C. S., Hanley, G. P., & Beaulieu, L. (2013). An individualized and comprehensive approach to treating sleep problems in young children. Journal of Applied Behavior Analysis, 46, 161–180.

    Article  PubMed  Google Scholar 

  • Johns, M. W. (1991). A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep, 14, 540–545.

    PubMed  Google Scholar 

  • Johnson, C. M. (1991). Infant and toddler sleep: A telephone survey of parents in one community. Journal of Developmental and Behavioral Pediatrics, 12, 108–114.

    PubMed  Google Scholar 

  • Johnson, C. M., & Lerner, M. (1985). Amelioration of infant sleep disturbances: II. Effects of scheduled awakenings by compliant parents. Infant Mental Health Journal, 6, 21–30.

    Article  Google Scholar 

  • Knight, R. M., & Johnson, C. M. (2014). Using a behavioral treatment package for sleep problems in children with autism spectrum disorders. Child and Family Behavior Therapy, 36, 204–221.

    Article  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., & Basili, G. (1999). Review of strategies for treating sleep problems in persons with severe and profound mental retardation or multiple handicaps. American Journal on Mental Retardation, 104, 170–186.

    Article  PubMed  Google Scholar 

  • Lenjavi, M., Ahuja, M., Touchette, P., & Sandman, C. (2010). Maladaptive behaviors are linked with inefficient sleep in individuals with developmental disabilities. Journal of Neurodevelopmental Disorders, 2, 174–180.

    Article  PubMed  PubMed Central  Google Scholar 

  • Luiselli, J. K., Magee, C., Sperry, J. M., & Parker, S. (2005). Descriptive assessment of sleep patterns among community-living adults with mental retardation. Mental Retardation, 43(6), 416–420.

    Article  PubMed  Google Scholar 

  • Lundqvist, L. (2013). Prevalence and risk markers of behavior problems among adults with intellectual disabilities: A total population study in Orebro Country, Sweden. Research in Developmental Disabilities, 34, 1346–1356.

    Article  PubMed  Google Scholar 

  • Maas, A. P. H. M., Didden, R., Korzilius, H., Braam, W., Collin, P., Smits, M. G., & Curfs, L. M. G. (2011). Psychometric properties of a sleep questionnaire for use in individuals with intellectual disability. Research in Developmental Disabilities, 32, 2467–2479.

    Google Scholar 

  • Maas, A. P. H. M., Sinnema, M., Didden, R., Maaskant, M. A., Smits, M. G., Schrander-Stumpel, C. T. R., & Curfs, L. M. G. (2010). Sleep disturbances in adults with Prader-Willi syndrome. Journal of Intellectual Disability Research, 54(10), 906–917.

    Google Scholar 

  • Matricciani, L. A., Olds, T. S., Blunden, S., Rigney, G., & Williams, M. T. (2012). Never enough sleep: A brief history of sleep recommendations for children. Pediatrics, 129, 548–556.

    Article  PubMed  Google Scholar 

  • Meltzer, L. J., Johnson, C., Crossette, J., Ramos, M., & Mindell, J. A. (2010). Prevalence of diagnosed sleep disorders in pediatric primary care practices. Pediatrics, 125, 1410–1418.

    Article  Google Scholar 

  • Mindell, J. A. (1999). Empirically supported treatments in pediatric psychology: Bedtime refusal and night wakings in young children. Journal of Pediatric Psychology, 24, 465–481. doi:10.1093/jpepsy/24.6.465.

    Article  PubMed  Google Scholar 

  • Mindell, J. A., Kuhn, B., Lewin, D. S., Meltzer, L. J., & Sadeh, A. (2006). Behavioral treatment of bedtime problems and night wakings in infants and young children. Sleep, 29, 1263–1276.

    PubMed  Google Scholar 

  • Moon, E. C., Corkum, P., & Smith, I. M. (2011). Case study: A case-series evaluation of a behavioral sleep intervention for three children with autism and primary insomnia. Journal of Pediatric Psychology, 36, 47–54. doi:10.1093/jpepsy/jsq057.

    Article  PubMed  Google Scholar 

  • Moss, S., Prosser, H., Costello, H., Simpson, N., Patel, P., Rowe, S., … Hatton, C. (1998). Reliability and validity of the PAS-ADD Checklist for detecting psychiatric disorders in adults with intellectual disability. Journal of Intellectual Disability Research, 42(2), 173–183.

    Google Scholar 

  • National Institutes of Health. Retrieved March 2, 2015, from http://www.nhlbi.nih.gov/files/docs/public/sleep/healthy_sleep.pdf.

  • O’Reilly, M. E. (1995). Functional analysis and treatment of escape-maintained aggression correlated with sleep deprivation. Journal of Applied Behavior Analysis, 28(2), 225–226.

    Article  PubMed  PubMed Central  Google Scholar 

  • Owens, J. (2007). Classification and epidemiology of childhood sleep disorders. Sleep Medicine Clinics, 2, 353–361. doi:10.1016/j.jsmc.2007.05.009.

    Article  Google Scholar 

  • Owens, J. A., Spirito, A., & McGuinn, M. (2000). The Children’s Sleep Habits Questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged children. Sleep, 23, 1043–1051.

    PubMed  Google Scholar 

  • Piazza, C. C., & Fisher, W. (1991). A faded bedtime with response cost protocol for treatment of multiple sleep problems in children. Journal of Applied Behavior Analysis, 24, 129–140.

    Article  PubMed  PubMed Central  Google Scholar 

  • Piazza, C. C., Hagopian, L. P., Hughes, C. R., & Fisher, W. W. (1998). Using chronotherapy to treat severe sleep problems: A case study. American Journal on Mental Retardation, 102, 358–366.

    Article  PubMed  Google Scholar 

  • Poindexter, A. R., & Bihm, E. M. (1994). Incidence of short-sleep patterns in institutionalized individuals with profound mental retardation. American Journal on Mental Retardation, 98, 776–780.

    PubMed  Google Scholar 

  • Ram, S., Seirawan, H., Kumar, S., & Clark, G. (2010). Prevalence and impact of sleep disorders and sleep habits in the United States. Sleep and Breathing, 14(1), 63–70.

    Article  PubMed  Google Scholar 

  • Rickert, V. I., & Johnson, C. M. (1988). Reducing nocturnal awakening and crying episodes in infants and young children: A comparison between scheduled awakenings and systematic ignoring. Pediatrics, 81, 203–212.

    PubMed  Google Scholar 

  • Rojahn, J., Matson, J. L., Lott, D., Esbensen, A. J., & Smalls, Y. (2001). The Behavior Problems Inventory: An instrument for the assessment of self-injury, stereotyped behavior and aggression/destruction in individuals with developmental disabilities. Journal of Autism and Developmental Disorders, 31(6), 577–588.

    Article  PubMed  Google Scholar 

  • Rossignol, D. A., & Frye, R. (2011). Melatonin in autism spectrum disorders: A systematic review and meta-analysis. Developmental Medicine and Child Neurology, 53, 783–792.

    Article  PubMed  Google Scholar 

  • Rzepecka, H., McKenzie, K., McClure, I., & Murphy, S. (2011). Sleep, anxiety and challenging behavior in children with intellectual disability and/or autism spectrum disorder. Research in Developmental Disabilities, 32, 2758–2766.

    Article  PubMed  Google Scholar 

  • Schreck, K. A. (2001). Behavioral treatments for sleep problems in autism: Empirically supported or just universally accepted? Behavioral Interventions, 16, 265–278.

    Article  Google Scholar 

  • Schreck, K. A., Mulick, J. A., & Smith, A. F. (2004). Sleep problems as possible predictors of intensified symptoms of autism. Research in Developmental Disabilities, 25, 57–66.

    Article  PubMed  Google Scholar 

  • Short, C. A., & Carpenter, P. P. K. (1998). The treatment of sleep disorders in people with learning disabilities using light therapy. International Journal of Psychiatry in Clinical Practice, 2920, 143–145.

    Article  Google Scholar 

  • Simonds, J. F., & Parraga, H. (1982). Prevalence of sleep disorders and sleep behaviors in children and adolescents. Journal of the American Academy of Child Psychiatry, 21, 383–388.

    Article  PubMed  Google Scholar 

  • Souders, M. C., Mason, T. B. A., Valladares, O., Bucan, M., Levy, S. E., Mandell, D. S., … Pinto-Martin, J. (2009). Sleep behaviors and sleep quality in children with autism spectrum disorders. Sleep, 32, 1566–1578.

    Google Scholar 

  • Spruyt, K., & Curfs, L. (2015). Non-pharmacological management of problematic sleeping in children with developmental disabilities. Developmental Medicine & Child Neurology, 57(2), 120–136.

    Article  Google Scholar 

  • Stores, G., & Wiggs, L. (Eds.). (2001). Sleep disorders in children and adolescents with disorders of development: Its significance and management. London: Mac Keith Press.

    Google Scholar 

  • Thirumalai, S. S., Shubin, R. A., & Robinson, R. (2002). Rapid eye movement sleep behavior disorder in children with autism. Journal of Child Neurology, 17, 173–178.

    Article  PubMed  Google Scholar 

  • van de Wouw, E., Evenhuis, H., & Echteld, M. (2012). Prevalence, associated factors and treatment of sleep problems in adults with intellectual disability: A systematic review. Research in Developmental Disabilities, 33, 1310–1332.

    Article  PubMed  Google Scholar 

  • van de Wouw, E., Evenhuis, H., & Echteld, M. (2013). Objective assessment of sleep and sleep problems in older adults with intellectual disabilities. Research in Developmental Disabilities, 34, 2291–2303.

    Article  PubMed  Google Scholar 

  • Vriend, J. L., Corkum, P. V., Moon, E. C., & Smith, I. M. (2011). Behavioral interventions for sleep problems in children with autism spectrum disorders: Current findings and future directions. Journal of Pediatric Psychology, 36, 1017–1029.

    Article  PubMed  Google Scholar 

  • Weiskop, S., Richdale, A., & Mathews, J. (2005). Behavioural treatment to reduce sleep problems in children with autism or fragile X syndrome. Developmental Medicine & Child Neurology, 47, 94–104.

    Article  Google Scholar 

  • Wiggs, L. D. (2012). Sleep disturbances and learning disability (Mental retardation). In C. M. Morin & C. A. Espie (Eds.), The Oxford handbook of sleep and sleep disorders (pp. 787–819). NY: Oxford University Press.

    Google Scholar 

  • Wiggs, L., & Stores, G. (2001). Behavioural treatment for sleep problems in children with severe intellectual disabilities and daytime challenging behavior: Effects on mothers and fathers. British Journal of Health Psychology, 6, 257–269.

    Article  PubMed  Google Scholar 

  • Wiggs, L., & Stores, G. (2004). Sleep patterns and sleep disorders in children with autism spectrum disorders: Insights using parent reports and actigraphy. Developmental Medicine & Child Neurology, 46, 372–380.

    Article  Google Scholar 

  • Willner, P. (2004). Brief cognitive therapy of nightmares and post-traumatic rumination in a man with a learning disability. British Journal of Clinical Psychology, 43, 454–464.

    Article  Google Scholar 

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Authors and Affiliations

  1. The Shape of Behavior, 12941 North Freeway, Suite #750, Houston, TX, 77060, USA

    Deborah L. Grossett & Domonique L. Randall

  2. Department of Psychology, Central Michigan University, Mount Pleasant, MI, 48859, USA

    C. Merle Johnson

  3. Williams Behavioral Consulting, 1804 Wolf Creek Drive, Greenville, TX, 75402, USA

    Don E. Williams

Authors
  1. Deborah L. Grossett
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  2. C. Merle Johnson
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  3. Don E. Williams
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  4. Domonique L. Randall
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Correspondence to Deborah L. Grossett .

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Editors and Affiliations

  1. Department of Psychiatry and Health Beha, Medical College of Georgia, Augusta Univ, Augusta, Georgia, USA

    Nirbhay N. Singh

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Grossett, D.L., Johnson, C.M., Williams, D.E., Randall, D.L. (2016). Sleep Disorders. In: Singh, N. (eds) Handbook of Evidence-Based Practices in Intellectual and Developmental Disabilities. Evidence-Based Practices in Behavioral Health. Springer, Cham. https://doi.org/10.1007/978-3-319-26583-4_30

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